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Revolution or evolution : the challenges of conceptualizing patient and public involvement in a consumerist world
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Tritter, Jonathan Q. (2009) Revolution or evolution : the challenges of conceptualizing patient and public involvement in a consumerist world. Health Expectations, Vol.12 (No.3). pp. 275-287. doi:10.1111/j.1369-7625.2009.00564.x ISSN 1369-6513.
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Official URL: http://dx.doi.org/10.1111/j.1369-7625.2009.00564.x
Abstract
Background Changing the relationship between citizens and the state is at the heart of current policy reforms. Across England and the developed world, from Oslo to Ontario, Newcastle to Newquay, giving the public a more direct say in shaping the organization and delivery of healthcare services is central to the current health reform agenda. Realigning public services around those they serve, based on evidence from service user's experiences, and designed with and by the people rather than simply on their behalf, is challenging the dominance of managerialism, marketization and bureaucratic expertise. Despite this attention there is limited conceptual and theoretical work to underpin policy and practice.
Objective This article proposes a conceptual framework for patient and public involvement (PPI) and goes on to explore the different justifications for involvement and the implications of a rights-based rather than a regulatory approach. These issues are highlighted through exploring the particular evolution of English health policy in relation to PPI on the one hand and patient choice on the other before turning to similar patterns apparent in the United States and more broadly.
Conclusions A framework for conceptualizing PPI is presented that differentiates between the different types and aims of involvement and their potential impact. Approaches to involvement are different in those countries that adopt a rights-based rather than a regulatory approach. I conclude with a discussion of the tension and interaction apparent in the globalization of both involvement and patient choice in both policy and practice.
| Item Type: | Journal Article | ||||
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| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
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| Divisions: | Faculty of Social Sciences > Warwick Business School > International Centre for Governance & Public Management Faculty of Social Sciences > Warwick Business School |
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| Library of Congress Subject Headings (LCSH): | Medical policy, National health services-- Great Britain, Globalization, Patient participation | ||||
| Journal or Publication Title: | Health Expectations | ||||
| Publisher: | Wiley-Blackwell Publishing, Inc | ||||
| ISSN: | 1369-6513 | ||||
| Official Date: | September 2009 | ||||
| Dates: |
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| Volume: | Vol.12 | ||||
| Number: | No.3 | ||||
| Number of Pages: | 13 | ||||
| Page Range: | pp. 275-287 | ||||
| DOI: | 10.1111/j.1369-7625.2009.00564.x | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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